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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK GRUEN ANDERSON, RPH

Active Sole Proprietor

MR. MARK GRUEN ANDERSON, RPH is a Pharmacist healthcare provider located in PLYMOUTH, Wisconsin. NPI 1629334073 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · PLYMOUTH, WI

Registration Details

NPI Number
1629334073
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2012 (14.156474157267 yrs)
Last Updated
Apr 10, 2012
License
9189-40 (WI)
Sole Proprietor
Yes

Practice Information

Address
2615 EASTERN AVE
PLYMOUTH, WI, 530734270
Browse WI providers · Browse ZIP 53073
Phone
9208924182
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in PLYMOUTH, WI

Name Credential NPI
KELLY SENKBEIL PHARM.D. 1568749745
ELIZABETH ANN BALES PHARMD RPH 1346517547
MICHELLE MUGAN 1033486501
MR. PAUL DENNIS KOZMA RPH 1164789855
MRS. PAMELA ANN KISSEL RPH 1730423880
HEATHER LYNNE STEINHARDT RPH 1508100264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.